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SUZANNE D TIETJEN BSN, NNP
NPI 1013173335
Nurse Practitioner - Neonatal in Peoria, IL

Active since August 06, 2008
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2974 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suzanne D Tietjen Bsn, Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUZANNE D TIETJEN BSN, NNP (NPI 1013173335) is an individual neonatal provider in Peoria, Illinois, licensed in Illinois (041-261586) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1013173335
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameSUZANNE D TIETJENCredential: BSN, NNP
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing AddressPo Box 1649Peoria, IL 61656-1649 · (309) 671-8504 · Fax (309) 671-8513
Phone(309) 655-2974
Sole ProprietorNo
Enumeration DateAugust 6, 2008
Last NPPES UpdateAugust 18, 2008
✔ NPI 1013173335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in IL · 041-261586
530 NE GLEN OAK AVE, Peoria, IL 61637
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Tietjen's NPI number?

The NPI number for Suzanne Tietjen is 1013173335. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Suzanne Tietjen located?

Suzanne Tietjen practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2974.

What is Suzanne Tietjen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Suzanne Tietjen was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.